Provider Demographics
NPI:1144773888
Name:MORINA GARCIA, LILIANNE
Entity type:Individual
Prefix:
First Name:LILIANNE
Middle Name:
Last Name:MORINA GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8760 SW 133 AVE
Mailing Address - Street 2:APT: 312
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8760 SW 133 AVE
Practice Address - Street 2:APT: 312
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5374
Practice Address - Country:US
Practice Address - Phone:305-263-0901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician